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1.
Nanotechnology ; 29(35): 355301, 2018 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-29856732

RESUMO

We investigate the scattering properties of novel kinds of nano-textured substrates, fabricated in a self-organized fashion by defocused ion beam sputtering. These substrates provide strong and broadband scattering of light and can be useful for applications in thin-film solar cells. In particular, we characterize the transmitted light in terms of haze and angle-resolved scattering, and we compare our results with those obtained for the commonly employed Asahi-U texture. The results indicate that the novel substrate has better scattering properties compared to reference Asahi-U substrates. We observe super-Lambertian light scattering behavior in selected spectral and angular regions due to the peculiar morphology of the nano-textured interface, which combines high aspect ratio pseudo random structures with a one-dimensional periodic pattern. The enhancement of light absorption observed in a prototype thin film semiconductor absorber grown on nano-textured glass with respect to an Asahi-U substrate further confirms the superior light trapping properties of the novel substrate.

2.
Ecotoxicol Environ Saf ; 114: 93-101, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25618632

RESUMO

The effects of freshwater pollution in the highly contaminated river Sarno (Campania, Southern Italy) have been evaluated using bags containing the aquatic plant Lemna minor (Lemnacee, Arales), in order to determine morpho-physiological modifications as a response to pollutants. The exposition of Lemna bags for 7 days on three different sites along the river path showed alterations in chloroplasts and vacuoles shape and organization. Moreover, some specimens were exposed in vitro at the same heavy metal (HM) concentrations measured in the polluted sites of the river, and compared with data from the bag experiment; to verify the dose and time dependent effects, samples were exposed to HM in vitro at concentrations ranging from 10(-6) to 10(-4)M up to 7 days. Transmission electron microscopy (TEM) observations on in vitro plants confirmed that ultrastructural alterations affected most of plastids and the shape of different subcellular structures, namely vacuoles; in in vitro stressed specimens, Heat Shock Proteins 70 (Hsp70) levels changed, in dependence of changing levels of HM measured in different sites along the river path. Thus L. minor exhibited a possible correlation between the levels of HM pollution and Hsp70 occurrence; interestingly, the data presented showed that copper specifically increased Hsp70 levels at concentrations detected in polluted river waters, whereas cadmium and lead did not; on the other side, the latter represent highly toxic elements when specimens were exposed to higher levels in vitro. The effects of specific elements in vitro are compared to those observed in bags exposed along the river path; thus results are examined in order to propose L. minor as an organism able to be utilized to monitor heavy metals pollution; the possibility of using Hsp70s as specific markers of HM pollution is discussed.


Assuntos
Araceae/efeitos dos fármacos , Proteínas de Choque Térmico HSP70/biossíntese , Metais Pesados/toxicidade , Proteínas de Plantas/biossíntese , Rios , Poluentes Químicos da Água/toxicidade , Araceae/metabolismo , Araceae/ultraestrutura , Biomarcadores/metabolismo , Itália
3.
Ecotoxicol Environ Saf ; 104: 379-85, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24747927

RESUMO

Environmental cerium (Ce) levels are likely to increase in the near future and monitoring of its biological effects will therefore be necessary. The aim of this study was to test if treatment of the lichen Xanthoria parietina with Ce-containing solutions (0.1mM, 1mM, 10mM and 100mM) causes Ce bioaccumulation (both extra- and intra-cellularly) as well as physiological (sample viability, membrane lipids peroxidation, photosynthetic performance, water-soluble proteins content) and ultrastructural alterations. The results showed that treatment with Ce solutions induces Ce bioaccumulation, both extra-cellularly and intra-cellularly, which in turn causes an acute toxicity, evident as decreased sample viability, marked decrease in the photosynthetic performance and important changes in the ultrastructure.


Assuntos
Ascomicetos/efeitos dos fármacos , Ascomicetos/metabolismo , Cério/metabolismo , Cério/toxicidade , Líquens/efeitos dos fármacos , Líquens/metabolismo , Monitoramento Ambiental , Viabilidade Microbiana/efeitos dos fármacos , Fotossíntese/efeitos dos fármacos
4.
Chemosphere ; 93(10): 2269-75, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24001672

RESUMO

In this paper we tested if treating the lichen Xanthoria parietina with Sb-containing solutions causes Sb bioaccumulation as well as physiological and ultrastructural changes. Total and intracellular antimony content in Sb-treated samples increased progressively with increasing concentration in the treatment solutions. Incubation of X. parietina thalli with Sb at concentrations as low as 0.1mM caused a decrease in sample viability, measured as intensity of respiratory activity, and damage to cell membranes, expressed in terms of membrane lipid peroxidation, as well as ultrastructural changes such as plasmolysis, impairment of the thylakoid system of the alga and cytoplasmic lipid droplets. The photosynthetic system hardly responded, at least under the tested experimental conditions.


Assuntos
Antimônio/toxicidade , Ascomicetos/fisiologia , Poluentes Ambientais/toxicidade , Líquens/fisiologia , Membrana Celular/efeitos dos fármacos , Líquens/efeitos dos fármacos , Peroxidação de Lipídeos/efeitos dos fármacos , Fotossíntese/efeitos dos fármacos , Medição de Risco
5.
Int J Phytoremediation ; 14(4): 374-87, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22567718

RESUMO

A comprehensive understanding of the uptake, tolerance, and transport of heavy metals by plants will be essential for the development of phytoremediation technologies. In the present paper, we investigated accumulation, tissue and intracellular localization, and toxic effects of cadmium (Cd), lead (Pb), zinc (Zn), and copper (Cu) in three aquatic macrophytes (the angiosperms Lemna minor and Elodea canadensis, and the moss Leptodictyum riparium). We also tested and compared their capacity to absorb heavy metal from water under laboratory conditions. Our data showed that all the three species examined could be considered good bioaccumulators for the heavy metals tested. L. riparium was the most resistant species and the most effective in accumulating Cu, Zn, and Pb, whereas L. minor was the most effective in accumulating Cd. Cd was the most toxic metal, followed by Pb, Cu, and Zn. At the ultrastructural level, sublethal concentrations of the heavy metals tested caused induced cell plasmolysis and alterations of the chloroplast arrangement. Heavy metal removal experiments revealed that the three macrophytes showed excellent performance in removing the selected metals from the solutions in which they are maintained, thus suggesting that they could be considered good candidates for wastewaters remediation purpose.


Assuntos
Araceae/metabolismo , Bryopsida/metabolismo , Hydrocharitaceae/metabolismo , Metais Pesados/metabolismo , Poluentes Químicos da Água/metabolismo , Araceae/efeitos dos fármacos , Araceae/crescimento & desenvolvimento , Araceae/ultraestrutura , Biodegradação Ambiental , Bryopsida/efeitos dos fármacos , Cádmio/análise , Cádmio/metabolismo , Cádmio/toxicidade , Cobre/análise , Cobre/metabolismo , Cobre/toxicidade , Hydrocharitaceae/efeitos dos fármacos , Chumbo/análise , Chumbo/metabolismo , Chumbo/toxicidade , Metais Pesados/análise , Metais Pesados/toxicidade , Especificidade de Órgãos , Folhas de Planta/efeitos dos fármacos , Folhas de Planta/crescimento & desenvolvimento , Folhas de Planta/metabolismo , Folhas de Planta/ultraestrutura , Caules de Planta/efeitos dos fármacos , Caules de Planta/crescimento & desenvolvimento , Caules de Planta/metabolismo , Caules de Planta/ultraestrutura , Fatores de Tempo , Poluentes Químicos da Água/toxicidade , Purificação da Água , Zinco/análise , Zinco/metabolismo , Zinco/toxicidade
6.
Int J Phytoremediation ; 14(4): 443-55, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22567723

RESUMO

The effects of heavy metals, both toxic (Pb, Cd) and essential (Cu, Zn) on the ultrastructure and the induction of Heat Shock Protein 70 (HSP70) have been studied in the aquatic moss Leptodictyum riparium Hedw. In vitro cultured L. riparium was treated with different heavy metals, both toxic, as cadmium or lead; and essential microelements such as Copper or Zinc concentrations ranging from 10(-3) to 10(-6) M to investigate both ultrastructural damage and HSP induction. TEM observations showed that sub-lethal concentrations of heavy metals caused only slight changes, largely localized in the chloroplasts. Among all the heavy metals tested, cadmium caused the most severe modifications. Heavy metals caused the decrease of the soluble protein content and the enhancement of proteins reacting versus HSP70 antibodies, suggesting that molecular chaperons might be involved in the resistance to toxic effects of lead, cadmium, copper and zinc. Therefore, the induction of HSP70 in L. riparium would confer a higher resistance to pollutants under stressful conditions lethal for other mosses and higher plant species. These results suggest that the moss L. riparium can tolerate heavy metals stress without incurring severe cellular/subcellular damage. Therefore it can be used as a useful indicator of heavy metals accumulation.


Assuntos
Bryopsida/efeitos dos fármacos , Bryopsida/ultraestrutura , Poluentes Ambientais/toxicidade , Proteínas de Choque Térmico HSP70/metabolismo , Metais Pesados/toxicidade , Bryopsida/metabolismo , Cádmio/metabolismo , Cádmio/toxicidade , Cobre/metabolismo , Cobre/toxicidade , Microanálise por Sonda Eletrônica , Poluentes Ambientais/metabolismo , Chumbo/metabolismo , Chumbo/toxicidade , Metais Pesados/metabolismo , Microscopia Eletrônica de Transmissão , Zinco/metabolismo , Zinco/toxicidade
7.
Environ Pollut ; 166: 208-11, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22516710

RESUMO

This paper tested if culturing the moss Scorpiurum circinatum (Brid.) Fleisch. & Loeske with metal solutions (Cd, Cu, Pb and Zn) for 30 days causes metal bioaccumulation and ultrastructural changes. The results showed that despite the high heavy metal concentrations in treatment solutions, treated samples did not show severe ultrastructural changes and cells were still alive and generally well preserved. Bioaccumulation highlighted that moss cells survived to heavy metal toxicity by immobilizing most toxic ions extracellularly, likely in binding sites of the cell wall, which is the main site of metal detoxification.


Assuntos
Poluentes Atmosféricos/toxicidade , Briófitas/química , Metais Pesados/toxicidade , Poluentes Atmosféricos/análise , Poluentes Atmosféricos/metabolismo , Briófitas/metabolismo , Briófitas/ultraestrutura , Cádmio/análise , Cádmio/metabolismo , Cádmio/toxicidade , Cobre/análise , Cobre/metabolismo , Cobre/toxicidade , Monitoramento Ambiental , Chumbo/análise , Chumbo/metabolismo , Chumbo/toxicidade , Metais Pesados/análise , Metais Pesados/metabolismo , Zinco/análise , Zinco/metabolismo , Zinco/toxicidade
8.
Environ Pollut ; 157(8-9): 2255-60, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19446383

RESUMO

In this study, a biomonitoring project using the moss Scorpiurum circinatum was carried out to evaluate the deposition and biological effects of heavy metals in the area of Acerra (Naples, S Italy), one of the vertices of the sadly called "Italian triangle of death" owing to the dramatic increase in tumours. The results clearly indicated that the study area is heavily polluted by heavy metals, a large proportion of which is likely present in the atmosphere in particulate form. The ultrastructural organization of exposed samples was essentially preserved, but cell membrane pits, cytoplasm vesicles and concentric multilamellar/multivesicular bodies, probably induced by pollution, were found, which may be involved in the tolerance mechanisms to metal pollution in this moss species. Although severe biological effects were not found at the ultrastructural level in the exposed moss, effects on humans, especially after long-term exposure, are to be expected.


Assuntos
Poluentes Atmosféricos/análise , Briófitas/química , Monitoramento Ambiental/métodos , Metais Pesados/análise , Poluentes Atmosféricos/toxicidade , Atmosfera/química , Briófitas/efeitos dos fármacos , Briófitas/ultraestrutura , Itália , Metais Pesados/toxicidade
9.
Sci Total Environ ; 407(1): 647-54, 2008 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-18835631

RESUMO

Trace element accumulation in the lichen Pseudevernia furfuracea (L.) Zopf was studied in the district of Acerra (province of Naples, southern Italy), one of the points forming Italy's Triangle of Death. P. furfuracea thalli, collected from Mt. Faito (province of Naples), were transplanted and exposed in bags at different sites in Acerra district, classified into three different site types (urban, rural and industrial). We aimed to test the hypothesis that P. furfuracea, when transplanted in the district of Acerra, would respond to air pollution accumulating trace elements and that element concentrations in the exposed lichens were different in relation to the three different environments, characterised by different pollution sources. Samples were exposed for six months, periodically collected and examined by ICP MS spectrometer assays to measure concentrations of 10 trace elements (Al, As, Cd, Cr, Cu, Fe, Mn, Pb, V and Zn). The exposed samples showed increases in concentrations of all the examined elements; the trace element concentrations were evaluated by calculating exposed to control (EC) ratios, for each site and each trace element, to better understand the accumulation rates. EC ratios were evaluated after 3 and 6 month exposures, at the end of spring and summer respectively: 6 month EC values were the highest. The urban sites showed EC ratios generally higher than industrial and rural; the most accumulated elements were Pb and Cu (at the urban sites), Cu and Zn (at the industrial sites), and Cu and As (at the rural sites). The chemical data were then processed using a multivariate approach (ordination, PCA) to better understand environmental gradients. Bioaccumulation data and PCA analysis showed the sampling sites separated by different trace element abundance. Trace element abundance patterns in the three site types are discussed in relation to the land use and the pollution sources.


Assuntos
Monitoramento Ambiental/métodos , Poluentes Ambientais , Líquens/efeitos dos fármacos , Oligoelementos , Exposição Ambiental/efeitos adversos , Poluentes Ambientais/análise , Poluentes Ambientais/farmacocinética , Poluentes Ambientais/toxicidade , Itália , Líquens/química , Líquens/crescimento & desenvolvimento , Oligoelementos/análise , Oligoelementos/farmacocinética , Oligoelementos/toxicidade , Urbanização
10.
Environ Pollut ; 151(2): 401-7, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18179850

RESUMO

This study compared the heavy metal bioaccumulation capacity in the epiphytic moss Scorpiurum circinatum and the epiphytic lichen Pseudevernia furfuracea, exposed in bags for 3 months in the urban area of Acerra (S Italy). The content of Al, As, Cd, Co, Cr, Cu, Fe, Mn, Mo, Ni, Pb, Ti, V, and Zn was measured by ICP-MS. The results showed that both species accumulated all the heavy metals assayed. The moss had the highest bioaccumulation capacity for all metals and showed a more constant and linear accumulation trend than the lichen. Intra-tissue heavy metal bioaccumulation was assessed by X-ray microanalysis applied to ESEM operated in high and low vacuum and ESEM modes.


Assuntos
Briófitas/metabolismo , Monitoramento Ambiental/métodos , Poluentes Ambientais/metabolismo , Líquens/metabolismo , Metais Pesados/metabolismo , Briófitas/química , Cidades , Microanálise por Sonda Eletrônica , Poluentes Ambientais/análise , Itália , Líquens/química , Metais Pesados/análise , Microscopia Eletrônica de Varredura , Análise Espectral
11.
Environ Pollut ; 136(3): 431-42, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15862397

RESUMO

The results of trace element content analysed in Sphagnum capillifolium and Pseudevernia furfuracea exposed in bags in 1999 are reconsidered to evaluate the reliability of moss and lichen transplants to detect urban trace element atmospheric pollution, using Naples as a case example. After 4 months' exposure, trace element concentrations were at least twice as high as the pre-exposure values and in general higher in Sphagnum than in Pseudevernia. Moss samples were enriched in the following order: As=Cu>Mo>Pb>V>Co>Cr>Zn; lichen samples in the order: Mo>Cu>As=Co=Ni>V>Pb. Based on the calculation of a cumulative load factor, all sites located along the coast had higher trace element loads compared to sites in the hilly inland area. Complementary SEM, TEM and EDS observations showed, despite significant damage to tissue and cell integrity, the recurrent presence of particulate matter in moss and lichen, indicating the considerable presence of dust in the urban atmosphere which, according to chemical composition, may be due both to anthropogenic and natural sources such as volcanic rock and soil and sea salts.


Assuntos
Poluentes Atmosféricos/análise , Monitoramento Ambiental/métodos , Líquens/química , Sphagnopsida/química , Oligoelementos/análise , Cidades , Poeira , Itália , Poluentes do Solo/análise
12.
Protoplasma ; 223(1): 53-61, 2004 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15004743

RESUMO

Accumulation, tissue and intracellular localisation, and toxic effects of cadmium were investigated in the liverwort Lunularia cruciata. The results of analyses carried out by atomic absorption spectrometry on single plants showed that the cadmium accumulation was dose- and time-dependent. Cadmium localisation was assessed by X-ray scanning electron microscopy microanalysis in gemmalings and in the different tissues of the thallus and by X-ray transmission electron microscopy microanalysis at the cellular level. The metal preferentially accumulated in the hyaline parenchyma and at the base of the gemma cups. Inside the cell, cadmium accumulated in the vacuoles and the cell wall. Metal accumulation was accompanied by a concomitant increase in sulphur content within the vacuoles of stressed cells. Gel-permeation chromatography showed that most of the cadmium was associated with a low-molecular-mass fraction eluting at a ratio of elution volume to void volume corresponding to that of phytochelatins. The excess of sulphur deposited in the vacuoles may well have been caused by the stress-induced synthesis of phytochelatins. At the ultrastructural level, sublethal concentrations of cadmium caused alterations of the fine structure of the cells, inducing marked alterations of the chloroplast structure. Cadmium also induced a dose-dependent inhibition of apical thallus growth and gemma germination.


Assuntos
Cádmio/farmacologia , Hepatófitas/efeitos dos fármacos , Cádmio/metabolismo , Cádmio/toxicidade , Parede Celular/química , Parede Celular/ultraestrutura , Cloroplastos/patologia , Cloroplastos/ultraestrutura , Cromatografia em Gel , Microanálise por Sonda Eletrônica , Retículo Endoplasmático/patologia , Retículo Endoplasmático/ultraestrutura , Glutationa , Hepatófitas/citologia , Hepatófitas/metabolismo , Metaloproteínas/metabolismo , Microscopia Eletrônica , Microscopia Eletrônica de Varredura , Mitocôndrias/patologia , Mitocôndrias/ultraestrutura , Fitoquelatinas , Epiderme Vegetal/química , Epiderme Vegetal/citologia , Epiderme Vegetal/ultraestrutura , Raízes de Plantas/efeitos dos fármacos , Raízes de Plantas/crescimento & desenvolvimento , Caules de Planta/química , Caules de Planta/efeitos dos fármacos , Caules de Planta/crescimento & desenvolvimento , Ligação Proteica , Espectrofotometria Atômica , Esporos/efeitos dos fármacos , Esporos/crescimento & desenvolvimento , Esporos/ultraestrutura , Enxofre/análise , Fatores de Tempo , Vacúolos/química
13.
Fitoterapia ; 71 Suppl 1: S101-9, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10930720

RESUMO

The flavonoids are a heterogeneous group of ubiquitous plant polyphenols that abound in the human diet and are endowed with several biological activities, including immunomodulating and antioxidant activities. The bioactivity of flavonoids is tightly correlated with their chemical structure and action mechanisms, mostly inhibitory, on enzymatic systems involved in cellular activation. The aim of this study was to evaluate the effects of acetonic extracts from Lunularia cruciata gametophytes and Feijoa sellowiana fruits on human phagocyte functions. A purified native flavonoid, a catechin, and two of its derivatives were also tested. The extract, and its flavonoid activity, was evaluated by analyzing luminol-dependent chemiluminescence emitted by human circulating phagocytes, at rest or activated by phorbol miristate acetate (PMA). The results demonstrate that both the raw extracts and flavonoids significantly inhibit CL emission by leukocytes, especially when these cells are activated by PMA. The antioxidant activity of flavonoids can be increased by changing the chemical structure of the native molecule.


Assuntos
Antioxidantes/farmacologia , Feijoa , Flavonoides/farmacologia , Hepatófitas , Fagocitose/efeitos dos fármacos , Fitoterapia , Extratos Vegetais/farmacologia , Relação Dose-Resposta a Droga , Flavonoides/química , Frutas , Humanos , Medições Luminescentes , Extratos Vegetais/administração & dosagem
14.
Fitoterapia ; 71 Suppl 1: S110-6, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10930721

RESUMO

Following the extraction of Castanea sativa with an aqueous solution of sulfuric acid (pH 3.0), the ethyl acetate soluble fraction was tested for its antibacterial and allelopathic activity. The extract was shown to have pronounced antibacterial effects against seven of the eight strains of Gram-positive and Gram-negative bacteria used (MIC in the range of 64-256 microg/ml and MBC in the range of 256-512 microg/ml). The active fraction was analyzed by TLC and HPLC showing the presence of rutin, hesperidin, quercetin, apigenin, morin, naringin, galangin and kaempferol. Standards of the identified flavonoids were tested against the same bacterial strains. The highest activity was shown by quercetin, rutin and apigenin. The allelopathic effect was tested against Raphanus sativus seed germination. The extract, quercetin, rutin and apigenin caused a decrease in the percentage of seed germination and root and epicotyl growth.


Assuntos
Antibacterianos/farmacologia , Fagaceae , Bactérias Gram-Negativas/efeitos dos fármacos , Bactérias Gram-Positivas/efeitos dos fármacos , Fitoterapia , Extratos Vegetais/farmacologia , Antibacterianos/química , Antibacterianos/uso terapêutico , Cromatografia Líquida de Alta Pressão , Cromatografia em Camada Fina , Flavonoides/química , Humanos , Testes de Sensibilidade Microbiana , Extratos Vegetais/química , Extratos Vegetais/uso terapêutico , Folhas de Planta , Raízes de Plantas , Raphanus
15.
Int J Antimicrob Agents ; 10(2): 169-72, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9716295

RESUMO

An acetone extract of the moss Pleurochaete squarrosa was tested against eleven bacterial strains, some of which are pathogenous for man. The extract was active on some Gram-negative strains. Antibacterial activity of the extract, expressed as MICs, was compared with three reference antibiotics. Acute toxicity assay was performed in Balb C mice.


Assuntos
Antibacterianos/farmacologia , Bryopsida/química , Bactérias Gram-Negativas/efeitos dos fármacos , Bactérias Gram-Positivas/efeitos dos fármacos , Acetona , Animais , Humanos , Camundongos , Camundongos Endogâmicos BALB C , Testes de Sensibilidade Microbiana , Extratos Vegetais/farmacologia , Extratos Vegetais/toxicidade
16.
Int J Antimicrob Agents ; 8(3): 199-203, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-18611802

RESUMO

The antibacterial activity of extracts from various parts of plants (leaves, fruits and stems) was studied in Actinidia chinensis, Feijoa sellowiana and Aberia caffra. These are tropical plants used for food. The fruits (subdivided into skin, pulp and seeds), leaves and stems were separately extracted and tested, in triplicate, against eight Gram positive and Gram negative bacterial strains. All the extracts, except from the leaves of A. caffra, showed activity against all the strains employed. Inhibition of bacterial growth was tested against Na-cefotaxime, benzyl penicillin and tetracycline. The antibiotic activity of fruit resides essentially in the seeds. The antibacterial activity of extracts from vegetative plant parts was generally less active that from fruit extracts. The minimum inhibiting concentration (MIC) and minimum bactericidal concentration (MBC) were determined for all the extracts and showed exclusively bacteriostatic activity.

17.
Crit Care Med ; 14(6): 543-7, 1986 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-3709195

RESUMO

Interhospital transport can be hazardous because of rapid changes in a patient's physiologic status and the use of monitoring systems. A retrospective study evaluated the first 204 critically ill adult patients transported from community hospitals to Stanford Medical Center by a special transport team. To relate the risk of transport to severity of illness, a retrospective scoring system was devised. Sixty-one percent (n = 125) of the patients were at high risk for transport. The patients were stabilized at the referring hospital, and invasive monitoring was used as mandated by the patient's condition. The average transport distance was 133 km, and the average duration of transport was 4.38 h. One hundred and five patients (51.5%) were transported by air, and the remaining patients were transported by surface ambulance. All patients survived the transport, and 71.6% were eventually discharged from the hospital. Hospital mortality correlated with the risk-scoring system (p less than .01) and increased five-fold as severity of illness increased. This study demonstrates that, with appropriate hemodynamic stabilization and monitoring, severely ill patients can be transported safely.


Assuntos
Cuidados Críticos/métodos , Serviço Hospitalar de Emergência/métodos , Monitorização Fisiológica , Transporte de Pacientes/métodos , Adolescente , Adulto , Idoso , Ambulâncias , Feminino , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica/métodos , Estudos Retrospectivos , Risco
18.
Anesthesiology ; 61(6): 666-70, 1984 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-6507924

RESUMO

Thiopental pharmacokinetics and protein binding were determined in 24 pediatric surgical patients with normal hepatic and renal function, ranging in age from 5 months to 13 yr. These pharmacokinetic data were compared with those from 11 adult patients previously studied at our institution. All pediatric patients received a single intravenous bolus of thiopental, 4.0 +/- 0.08 mg . kg-1 (mean +/- SD), while the adult patients received 6.0 +/- 0.74 mg . kg-1. Distribution phase kinetics and volume of distribution at steady state (Vdss) did not differ statistically between the two groups. The degree of serum protein binding of thiopental also was similar in pediatric and adult patients with free fractions of 13.2% +/- 1.5% and 13.6% +/- 1.3%, respectively. The two patient groups showed a marked difference in elimination half-time and clearance of thiopental. Total drug clearance was 6.6 +/- 2.2 ml . kg-1 . min-1 for pediatric patients and 3.1 +/- 0.5 ml . kg-1 . min-1 for adults (P less than 0.001). The elimination half-time of 6.1 +/- 3.3 hours found in pediatric patients was significantly shorter (P less than 0.005) than that for adults, 12 +/- 6 hours. Linear regression of the pediatric data failed to achieve significance (P = 0.06) for elimination half-time to increase with age, while clearance decreased (P less than 0.001) with increasing age. The shorter elimination half-time seen in infants and children was due solely to greater hepatic clearance. Thus, recovery time after large or repeated doses may be more rapid for infants and children than for adults because of the higher clearance.


Assuntos
Tiopental/metabolismo , Adolescente , Adulto , Envelhecimento , Proteínas Sanguíneas/metabolismo , Criança , Pré-Escolar , Cromatografia Líquida de Alta Pressão , Feminino , Meia-Vida , Humanos , Lactente , Injeções Intravenosas , Cinética , Masculino , Taxa de Depuração Metabólica , Pessoa de Meia-Idade , Ligação Proteica , Análise de Regressão , Tiopental/administração & dosagem , Tiopental/sangue
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